go back

Alaska rates for HCPCS 57400

Dilation of vagina under anesthesia (other than local)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $9,549.93 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $151.36 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $186.21 / $870.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $446.68 / $1,071.52
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $758.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $616.60 / $891.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $125.89 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $363.08 / $831.76